• 정신간호학회지
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• 제28권1호
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• pp.50-63
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• 2019

Purpose: The objective of this study was to explore operational definitions and moderators of the resilience of adult children of alcoholics (ACOA) and its associated variables. Methods: This integrative review was conducted based on a literature review method suggested by Whittemore and Knafl. Databases including PubMed, CINAHL, PsycINFO, and RISS were searched using the combinations of search terms such as; 'adult children of alcoholics,' 'parental alcoholism,' 'resilience,' and 'children of alcoholics.' Results: Seventeen studies were selected for this review. Findings of integrative reviews reported operational definitions for the resilience of ACOA and moderators. The operational definition of ACOA's resilience is: (1) having no behavioral and emotional problem, (2) meeting social and developmental expectancies, (3) having the ability to cope with adversity, (4) having high self-concept, and (5) having a meaningful relationship. In addition, the varying environmental moderators include family communication, qualities of caring environment, parental communication, parentification, and social support. Several moderators were identified as positive effect, self-esteem, alcohol-specific coping style, locus of control, spirituality, the image of God, and dyadic cohesion in marital communication. Conclusion: Our study findings emphasize comprehensive understanding of diverse definition of resilience and moderators in developing nursing interventions to promote resilience in ACOA.

• 한국멀티미디어학회논문지
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• 제24권4호
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• pp.569-582
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• 2021

Education emphasizes problem-solving skills based on convergent thinking power in an era of rising uncertainty and rapid progress. This paper proactively designed e-Learning team teaching convergence liberal arts courses for prospective teachers by these social needs. It analyzed the empirical effects on the operation of the subjects to foster future talent who can converge and apply knowledge in various fields. The curriculum consisted of professors of mathematics, practical Arts, computer, and education, and was operated to convey convergent knowledge of information technology and humanities, and consisted of 15 liberal arts courses at J University. Besides, textbooks and teaching materials were also developed by the faculty. As a result of the primary research, prospective teachers who took the course generally showed high satisfaction with the class, especially for the faculty. The students' overall convergent thinking ability has increased to a statistically significant level (p<.01), and the students' major has been found to be irrelevant. On the other hand, it can be seen that communication, content convergence, and caring factors, excluding creativity factor, have all risen to a significant level.

• 한국산학기술학회논문지
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• 제16권12호
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• pp.8176-8186
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• 2015

본 연구는 간호 대학생에게 성인간호학 이론수업과 실습교육의 단절로 발생하는 문제점을 해결하기 위해 High-Fidelity 시뮬레이션 교육프로그램을 개발하여 적용함으로써 그 효과를 분석하고자 시행되었다. 분석방법은 성인간호학 이론수업의 학습목표에 따라 비뇨기계 대상자 간호에서 고칼륨혈증 대상자 간호를 위한 알고리즘, 평가체크리스트, 디브리핑을 포함한 시나리오를 개발하여 비동등성 대조군 전후설계(non-equivalent control group pre-test and post-test design)로 측정하였다. 분석결과 일반적 특성과 종속변수의 실험군과 대조군의 동질성이 확보되었다. 고칼륨혈증 대상자 시뮬레이션 교육프로그램이 간호대학생의 간호수행능력, 문제해결능력, 비판적 사고성향, 자기효능감, 간호지식정도에 미치는 효과는 시뮬레이션 교육을 받은 실험군이 대조군 보다 유의하게 증가하였고, 통계적으로 유의한 차이가 있는 것으로 나타났다(t=-83.313, p<.001, t=-3.169, p=.003, t=-2.473, p=.017, t=-4.036, p<.001, t=-5.044, p<.001). 간호학생의 성인간호학 이론수업과 연계한 High-Fidelity 시뮬레이션 프로그램은 간호수행능력, 문제해결능력, 비판적 사고성향, 자기효능감, 간호지식을 높게 하는 것으로 나타났다. 이러한 시뮬레이션 실습교육 프로그램을 교육과정에 적용함으로써 효율적인 실습교육 방안을 제시하고 간호교육의 질 제고에 기여할 수 있을 것이다.

• 한국보육지원학회지
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• 제11권3호
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• pp.63-83
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• 2015

본 연구에서는 유아교사의 다문화교수효능감과 밀접한 관련이 있는 다문화감수성과 다문화교육목표 관점의 전반적인 인식 수준과 배경변인별 인식 수준의 차이를 밝히고, 유아교사의 다문화감수성과 다문화교육목표가 유아교사의 다문화교수효능감에 미치는 영향력을 분석하였다. 연구대상은 유아교사 283명이고, 연구결과는 다음과 같다. 첫째, 유아교사의 다문화교육목표 관점은 배려중심의 관점이 가장 높았고, 다문화감수성은 평균보다 다소 높게 나타났다. 둘째, 유아교사의 경력과 연령, 학력에 따라 다문화감수성과 다문화교육목표에 대한 인식에 유의미한 차이를 보였다. 셋째, 다문화감수성과 다문화교육목표의 네 가지 관점은 다문화교수효능감과 유의미한 정적 상관관계를 나타냈다. 다문화 감수성이 다문화교수효능감에 가장 큰 영향력을 미쳤으며, 다문화교육목표의 네 가지 관점 중에서 배려중심 관점과 사회적 행동 관점이 다문화교수효능감의 하위변인에 미치는 영향력이 실증적으로 검증되었다. 본 연구는 유아교사의 다문화교수효능감을 향상시켜 유아교사의 다문화 교육역량을 강화시키는 방안을 마련하는 데 기초자료를 제공할 것이다.

• 한국병원경영학회지
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• 제20권2호
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• pp.15-27
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• 2015

환자의 만족도는 더 나은 의료서비스 결과물을 위한 중요 요소이기에, 환자만족도와 관련 요인에 대한 연구는 그 필요성이 대두하고 있다. 따라서, 본 연구는 의사의 환자를 향한 공감적(empathetic) 태도와 같은 잠재적 요인이 환자만족도와 어떤 연관성을 가졌는지를 분석했다. 이를 위해, 편의표본추출법을 통한 환자설문조사 자료 중 총 273,994 개의 사례들을 분석한 단면연구가 수행되었다. 연구의 독립변수 및 종속변수들은 각각 의사의 태도 및 의사와 진료소(office setting or clinic) 관련 환자만족도로 정의되었다. 연구결과에 의하면, 의사와 진료소 관련 환자만족도는 각각 100점 만점에 평균 78.08과 78.62로 나타났고 상응하는 표준편차는 각각 0.14와 0.12였다. 또한, 의사의 태도가 의사와 진료소 관련 환자만족도와 유의한 관계에 있음을 확인하였다(p < 0.001). 의료에 대한 환자만족도를 높이기 위해서는, 의사의 공감적 의사소통 능력개발을 위한 지속적인 노력이 기울여져서 환자에 의한 의사의 공감적 태도가 인지되어 질 수 있기를 본 연구는 제언한다.

• 성인간호학회지
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• 제24권4호
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• pp.390-397
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• 2012

Background: Few nurses are trained in palliative care for long-term care in Korea. The End-of-Life Nursing Education Consortium (ELNEC)-Geriatric training program improves nurses' ability to promote palliative care for the elderly. Purpose: The aim of this study was to evaluate nurses' satisfaction and knowledge following the attendance at the ELNEC-Geriatric curriculum on nurses' knowledge of palliative care. Methods: Nine ELNEC-Geriatric modules were presented to 203 interdisciplinary professionals on July 1 and 3, 2010, in Seoul, South Korea. The Palliative care quiz for nursing (PCQN) was used to evaluate nurses' knowledge. Of all the participants, 128 nurses were completed the questionnaire. Of these nurses, 45.2% were staff nurses and 73.4% were hospital nurses. Results: Approximately eight nine percent of the nurses reported previous experience in caring for dying patients and attending various hospice palliative care training programs. Overall program satisfaction of the participants was 4.03 on a 5-point scale, and their mean of the total PCQN score was 12.75 out of 20 after participating in ELNEC-Geriatric course, which was a significant improvement (p=.022) from the pretest. Conclusion: The results of this study demonstrate that ELNEC-Geriatric curriculum was successfully implemented and significantly contributed to increasing the nurses' knowledge for palliative care in long-term care in Korea.

• 대한간호학회지
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• 제23권4호
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• pp.602-616
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• 1993

The purpose of this study was to explore the degree of stress in caregivers caring for patients who had had a cerebro vascular accident as the stress is related to the self- care ability of the patient. The subjects for the study were caregivers of 111 CVA patients, hospitalized at two University affiliated hospitals and two general hospitals in Daejon. The survey instruments used in the study were Kang’s ADL Check List and a modified form of Lee’s Stress Inventory. The survey was conducted from July 16th to August 30th, 1992. The survey results were analyzed using the Statisitical Package for Social Sciences (SPSS) and can be sumerized as follows: 1. The level of self- care for the CVA patients was : 1) complete dependence (M=34.7, 31.2%), 2) complete independence (M=14.8. 13.3%), 3) in-complete independence ( M=17.5, 15.8% ), 4) in-complete dependence (M=14.8, 13.3%) and 5) dependence and independence (M=14.1, 12.7%). The items for which there was a high level of self-care were 1) drinking (M=3.640), 2) returning (M=2.351) and 3) eating (M=2.351) : and the items for which there was a low level of self -care were : 1) ascending and descending stairs (M=2.351), 2) dressing and undressing trousers (M=2.514) and 3) dressing and undressing jacket (M :2.532). 2. There was a statistically difference between the paralytic status and the level of self- care accord-ing to their demographic characteristics ( F=24. 7056, p(.001). 3. There was no significant difference in the degree of caregiver stress according to patient's demo-graphic characteristics. 4. There was a statistically significant difference in the degree of caregiver stress according to the following demographic characteristics : age (F=7.4189, p(.001), education level (F=5.8336, P(.01), family structure (t=2.10, p(.05) and their relationship with the patient (F=6.5099, P〈.01). 5. There was no significant difference in the degree of caregiver stress according to the level of patient self - care.

• 성인간호학회지
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• 제14권2호
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• pp.276-286
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• 2002

Purpose: The concept of embarrassment as an unpleasant emotion is important in caring for those who are in the continuum of illness and health requiring body care and facing sexual problems. In spite of its nursing implication, embarrassment has not been focused in nursing research. Therefore, the purpose of this paper is to develope a conceptual analysis of embarrassment. This analysis would help to understand comprehensively an embarrassing situation in which an intimate relationship between nurse and patient regarding body care of the patient could develope. Futhermore, it would be a basis for developing strategies for prevention of embarrassment which could lead for both patient and nurse to emotionally vulnerable situation because of their failure of self-presentation (impression management). Method: The concept analysis model suggested by Walker and Avant (1988) is used to clarify what is meant by the term 'embarrassment'. Result: This analysis defines the attributes of embarrassment such as follows. First, embarrassment is often attributed to situational factors interrupting a smooth interaction such as intimacy, confusion, vulnerability, exposure of interaction and characteristics of audience. Second, embarrassment is closely related with cognitive factor such as fear of losing face resulted from a behaviour being out of line. Third, embarrassment is closely associated with dispositional factor such as embarrassability. Fourth, embarrassment is an unpleasant and unwanted emotion arising reactively after an interaction had occurred. Fifth, embarrassment encloses physical, physiological and behavioral aspects such as a variety of unique and easily noticeable reactions and a pattern of verbal and non-verbal behaviour for coping in an embarrassing situation. The antecedents were normally socialized adolescents with normal cognitive ability, concern of losing face, embarrassability, embarrassing events related with situational intimacy, confusion, vulnerability, exposure of interaction and characteristics of audience, physical, behavioral blunders resulting in a failure of impression management. The consequences were an emotional coping behaviour, audience's embarrassment responses, and verbal and non-verbal coping strategies of interactional participants. Conclusion: It is hoped that this analysis will stimulate further exploration of this concept and study for developing systematic assessment and nursing practice that diminishes embarrassment of interactional participants.

• 대한가정학회지
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• 제43권12호
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• pp.79-96
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• 2005

The purpose of this study is to explore the conceptions of children and their activities in everyday lives during the late period of the Goryo Dynasty. The historical method was used and the materials for analysis were the literatures written from the late thirteenth century to the fourteenth century in the Goryo Dynasty, such as 'the Ikjaijip'(익재집), 'Mokeunjip'(목은집), 'Yangchonjip'(양촌집). According to the results, the perspective on the nature of a chad was that children were inherently good with the true character which was given from natural laws and that each child was born with different natural endowment. Also, the notions on child development were that the infancy was a pure and perfect period which us not contaminated by temperament and worldly desires, instead of the developmental model that childhood is as a stage and the child must develop from the state of incompetence to the state of maturity. In addition, there were the principles for development that were keeping the innate ideal state and fostering it from the earliest time as infants were born with innate ideal state or ability. The concepts of children's characteristics were considered that they were inclined to make much noise and movement, but to have the plain and straightforward expressions and consistency in their feelings and everyday activities. And intelligent abilities for learning were often considered as desirable traits. In everyday lives, children did the household chores such as caring for livestock and silkworms or embroidering. Among their games were exploring activities, free plays using natural materials, pretend-plays, bamboo-stilts riding, and Yutnori.

• 한국인구학
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• 제34권2호
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• pp.91-111
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• 2011

이 연구의 목적은 사회자본 이론을 적용해서 영유아기 자녀를 양육하는 기혼 여성의 사회자본을 알아보는 것이다. 만 5세 이하의 자녀를 둔 취업 여성 284명, 비취업 여성 287명에게 수집한 자료로 이들의 사회자본 특성과 취업 여부에 따른 차이, 그리고 사회자본에 영향을 미치는 요인을 살펴보았다. 기혼 여성의 사회관계망은 취업 여부에 따라서 서로 다른 특성을 가진 사람들로 구성되어 있었다. 취업 여부에 따라서 이들이 접근할 수 있는 사회자본에는 차이가 없었던 반면, 경제적 지원과 돌봄 지원을 위해서 동원할 수 있는 사회자본은 취업한 여성에게서 더 많은 것으로 나타났다. 취업 여부 변수는 돌봄 지원을 위해 동원할 수 있는 사회자본을 유의하게 예측했으며, 사회관계망 관련 변수들의 영향은 기혼 여성이 동원하고자 하는 사회자본의 종류에 따라 다르게 나타났다. 이는 취업과 자녀 양육에 대한 기혼 여성의 선택이 돌봄 지원을 위해 동원할 수 있는 사회자본에 반영됨을 시사한다. 또한 기혼 여성의 친족 관계의 중요성과 사회자본을 형성하기 위한 지원방안이 논의되었다.